Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.83 / $586.83 / $586.83	Facility		$586.83	$586.83	$586.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.40 / $346.02 / $586.83	Professional		$344.40	$346.02	$586.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $316.74	Facility		$316.74	$316.74	$316.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $269.23 / $316.74	Professional		$52.19	$269.23	$316.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,366.35 / $1,700.45 / $1,881.39	Professional		$1,366.35	$1,700.45	$1,881.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $363.32 / $1,239.19	Facility		$64.62	$363.32	$1,239.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $64.62 / $67.95	Professional		$49.24	$64.62	$67.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $673.75 / $683.60 / $820.75	Facility		$673.75	$683.60	$820.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $673.75 / $820.75 / $820.75	Professional		$673.75	$820.75	$820.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $346.02 / $1,239.19	Facility		$60.45	$346.02	$1,239.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $66.18 / $316.74	Professional		$52.19	$66.18	$316.74
United Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $265.26 / $442.10	Professional		$265.26	$265.26	$442.10